Client Feedback & Testimonial Form

Client Feedback & Testimonial Form
Thank you for sharing your experience! Your feedback is invaluable as With Direction, LLC continues to grow and refine our services. This form has two parts:

Part 1: Internal Feedback – to help us improve (not shared publicly).

Part 2: Optional Testimonial – to highlight your experience if you choose to share it publicly.

If you opt to share a testimonial, we may feature your comments on our website or in select promotional materials. You’re also welcome to upload your organization’s logo for added visibility. We genuinely appreciate your support and partnership.
Name

First Last
Email
example@example.com
Organization
If Applicable
What services did I provide for you? (Check all that apply):*

Interpreting ServicesVideo Translation ServiceVideo Transcription ServiceTailored training (workshops)ConsultingExpert Witness ServicesOther
Title of the training or Project
How would you rate our services overall?
Part 1: Help Us Improve (Internal Only)

These questions are for our internal use only and will not be published.
Was there anything we could have done better or differently?
Were there any challenges or areas that felt unclear during our collaboration?
Do you have any suggestions for improving communication, logistics, or service delivery in the future?
Interpreter-Specific Feedback (If Applicable)
Name(s) of the interpreter(s) you worked with:
Would you like to share any positive feedback, recognition, or compliments about the interpreter(s) you worked with?
Were there any concerns, issues, or areas for improvement you’d like us to be aware of regarding the interpreter(s)?
Any other interpreter-related notes or context you’d like to share?
Part 2: Would You Like to Leave a Testimonial? (Optional)
Would you like to leave a public testimonial?*

Yes, I’m happy to share!Not at this time
How would you describe your experience working with us? (Required)
Please write your experience here.
Would you recommend our services to others?

YesNo
Do we have your permission to share your testimonial publicly (e.g., on our website promotional materials)?*
May we use your name and company name/logo alongside your testimonial if you can share your feedback?

Yes, you may use my name, company name & LogoYes, but only my nameYes, but only the company's logo.No, I wish to remain anonymousI’m not sure, I need to check my organizations policy.Other
How would you like your comment to be referenced if shared publicly?
Examples: “Full Name, Organization Name” | “First Name Only, Organization Name” | “Anonymous, Organization Name” | “Anonymous
Please upload your logo here or provide a link to the image.

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Client Feedback & Testimonial Form

Part 1: Help Us Improve (Internal Only)

Interpreter-Specific Feedback (If Applicable)

Part 2: Would You Like to Leave a Testimonial? (Optional)